Organization
BAPTIST MEDICAL GROUP LLC
Active
Parent organization
BAPTIST HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST HOSPITAL INC
Authorized official
SHARON CREECH (DELEGATED OFFICIAL)
(850) 475-3726
Entity
Organization
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 469-7406
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
(850) 475-3700
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001661700
—
FL
Enumeration date
08/04/2021
Last updated
08/10/2021
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